This is the Scientific Surgery Archive, which contains all randomized clinical trials in surgery that have been identified by searching the top 50 English language medical journal issues since January 1998. Compiled by Jonothan J. Earnshaw, former Editor-in-Chief, BJS
A randomized trial of hemithyroidectomy versus Dunhill for the surgical management of asymmetrical multinodular goiter. Ann Surg 2012; 256: 846–852.
Published: 4th March 2013
Authors: Sancho JJ, Prieto R, Duenas JP, Ribera C, Ripolles J, Larrad A et al. et al.
Conclusion
No permanent complications occurred in this trial that included 90 patients evaluable at a mean of 55 months. Reoperation was needed less often after the Dunhill procedure (unilateral total lobectomy with contralateral subtotal lobectomy): 2 vs. 9per cent (P=0.02), but most reoperations were for unexpected malignancy. Thirty per cent of unilateral procedures needed long term thyroxine.
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